How do you manage headaches in stroke patients?
Is there a difference in headache management in ischemic stroke versus hemorrhagic stroke?
How to best manage patients with underlying migraine who developed stroke/TIA?
Is there a difference in headache management post-tPA?
2 Answers
Mednet MemberInvited Expert
Neurology · Hartford HealthCare
Answered on
In general, I treat headaches based on phenotype. If they have associated migraine features then I treat them with migraine medications. If tension type then I address all the headache hygiene components. If cervicogenic then physical therapy for these. Always screen for and counsel on medication ov...
Join for free or sign in to see the full answer
Mednet Member
Neurology · University of Colorado, Climate & Health Dept
Answered on
It's generally the same as someone without a stroke. Triptans and some other medical classes are relatively contraindicated based on theoretical concerns and not hard data. So I use them only if other measures fail and with informed consent of potential risk.
Join for free or sign in to see the full answer